Types of depression are nuanced and varied. Some individuals can have combinations of the following:

Anxious distress — unusual restlessness or worry about possible events or loss of control

Mixed features — simultaneous depression and mania, which includes elevated self-esteem, talking too much, and racing thoughts and ideas

Melancholic features — severe depression with a profound lack of response to something that used to bring pleasure, associated with early morning awakening, worsened mood in the morning, significant changes in appetite, and feelings of guilt, agitation or sluggishness

Atypical features — ability to be cheered by happy events, increased appetite, little need for sleep, sensitivity to rejection, and a heavy feeling in arms or legs

Psychotic features — depression accompanied by delusions or hallucinations, which may involve themes of personal inadequacy or negative themes

Catatonia — includes motor activity that involves either uncontrollable and purposeless movement or fixed and inflexible posture

Peripartum onset — occurs during pregnancy or in the weeks or months after delivery (postpartum)

Seasonal pattern — related to changes in seasons and diminished exposure to sunlight

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